Anxiety, Depression and Sleep in Male Patients Undergoing Coronary Artery Bypass Surgery

Abstract

The aim of this study was to examine the prevalence of depression and anxiety following coronary artery bypass surgery (CABG) and to see how those patients with depression and anxiety differ in sleeping pattern. The individual reaction to sleep loss was tested as a predictor of certain emotional symptoms in the follow-up period. Thirty-eight males, between 45 and 68 years, were interviewed prior to, and 1 month after, surgery, and received a questionnaire at the 6-month follow-up. Eighty per cent scored moderate anxiety prior to surgery and six patients were depressed. An anxiety-prone individual reactivity persisted in the same patients in 38.9% (n = 14) following CABG, with significantly more sleep disturbances, firedness, energy deficits, immobility, and lower degree of quality of life (QoL). Sad/depressed mood or cognitive/behavioural fatigue symptoms as reactions to sleep loss were predictors of sleep problems and daytime sequelae, whereas a higher postoperative NYHA class was predicted by cognitive/behavioural fatigue and dysphoria reactions. Being less refreshed by sleep on final awakening prior to surgery related to 44.5% of the variance in QoL outcome 6 months following surgery. In conclusion, an anxiety-prone individual reactivity is significantly associated with sleep disturbances. Reactions to sleep loss prior to surgery are associated with emotional distress after surgery.

Self‐reported sleep quality, strain and health in relation to perceived working conditions in females

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Evaluating adult patients’ sleep: an integrative literature review in critical care

“…Acutely ill patients suffer from sleep deprivation caused by insufficient amount and fragmentation of sleep before , during and after hospitalisation. Especially patients in critical care units sleep quite poorly .…”

Follow-up With Objective and Subjective Tests of the Sleep Characteristics of Patients After Cardiac Surgery

“…Alterations of sleep patterns, deprivation of total sleep time (TST), increments of slight sleepiness, suppressed rapid-eye movement sleep, increased daytime napping episodes and durations, and as a consequence of these factors, decreased sleep efficiency (SE) after CABG surgery have been reported in numerous studies. 1,4,[5][6][7][8] Only telephone survey results, 3,4 self-reported questionnaire forms, 2,9 subjective sleep tests or sleep logs, 7,8,[10][11][12] or objective parameters only 13 have been evaluated, and furthermore follow-up periods were long in the studies using self reported questionnaire forms and subjective sleep tests, 4,10,11,14 but were very short in the studies that used objective sleep parameters. 13 None of these studies had control groups of healthy subjects.…”